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Jul 24, 2021

Pouch Rinsing - Debunking Myths and Sharing Personal Experience

The topic at hand is about the practice of rinsing an ostomy pouch, exploring its pros, cons, techniques, and feedback on related products. Here's a breakdown of the insights and advice shared by various ostomates and a retired ostomy nurse:

- Rinsing the pouch does not necessarily control odor and can sometimes loosen the wafer.
- Many ostomates prefer not to look at their stoma or anus.
- Rinsing can be inconvenient, especially when you have an active lifestyle and are away from home.
- The pouch tail is likened to a "prosthetic anus," and since a natural anus isn't washed internally, some see no need to rinse the pouch.
- Ostomates may have better gas-odor control by simply "popping the cap" in a restroom.

General attitudes:
- Long-term ostomates have varied practices: some never rinse, while others do so regularly or selectively for comfort.
- The general consensus is to do whatever makes you comfortable.

Perceived benefits of rinsing:
1. Keeps the tail and lower half of the pouch cleaner and provides a fresh feeling between full appliance changes.
2. Helps remove thick or pasty output and reduces "pancaking."
3. Can lessen odor for some users.
4. Allows for visual inspection of output and stoma health with clear or windowed pouches.
5. May extend wear time when thick output is flushed away.

Potential drawbacks:
1. Over-rinsing or letting water reach the stoma can cause backwash and may weaken adhesive barriers, leading to reduced adhesion or wafer loosening.
2. Frequent or vigorous rinsing can wear down moldable or wax rings.
3. Rinsing away from home is less practical unless you carry water bottles.
4. Rinsing through pouches with integrated filters may cause leaks through the filter vents.

Techniques and tips:
1. Rinse only the bottom half or up to (but not over) the stoma to avoid backwash.
2. Use small bottles (8–10 oz / 250–300 ml); many carry water bottles or a Coke bottle for up to three rinses per emptying.
3. Warm water and a short "slosh" clean effectively.
4. Limit rinsing to times when output is thick or sticking.
5. After emptying, wipe the tail with baby wipes for additional cleanliness if you choose not to rinse.
6. Toilet paper in the pouch can absorb liquid and reduce sloshing noise.
7. Flushable pouch liners such as "Colomajic" eliminate the need to rinse and keep hands clean.

Products, manufacturers, and noise issues:
- Hollister pouches have various models, some of which are noted for being loud, like candy wrappers, though cloth bag covers can help reduce noise.
- Hollister 11404 Cera Plus convex barrier/wafer users note that water can soften the Cera Plus or Adapt rings.
- Coloplast Sensura Mio two-piece systems are praised for their soft, quiet fabric backing, though some dislike the internal circular filter that clogs and obscures visibility.
- "Colomajic" disposable/flushable liners are used to avoid rinsing altogether.

Lifestyle notes:
- Highly active users, such as those who mountain bike, golf, or play tennis, rinse to lighten pouch weight and keep profiles slim but caution against overzealous washing that can weaken rings.
- Carrying spare water and using quiet, fabric-lined pouches or covers helps when out and about.

Opinions on rinsing are divided: some find it unnecessary, while others appreciate the cleanliness, odor reduction, and prevention of pancaking it provides. Proper technique and product choice, including liners or quieter pouches, are key to minimizing any adverse effects.
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